Concerns About Condom Retention and Pregnancy Risk: A Gynecological Perspective

The condom is stuck in the vagina?

Hello, doctor.
My menstrual cycle last month was about 35 days.
This time, my period started on August 3, and the last one was on June 25.
I had sexual intercourse on the evening of July 30.
Initially, we used a condom, but my boyfriend had been drinking, and after a while, the condom slipped off, and I couldn't find it.
My boyfriend was already drunk and vaguely mentioned that he had pulled out, but he was in a sleep-like state.
The next day, when I asked him about the condom, he didn't know where it was.
The following evening (July 31), I found it in the bathroom, and there was some sticky substance inside, but not much.
My boyfriend is also unsure if it was his semen.

1.
I would like to ask if there is a possibility of pregnancy in this situation, considering that my period has already come.

2.
My period started on August 3, but I went to see a gynecologist, and the urine test indicated that I was not pregnant.

3.
However, the doctor mentioned that I have a cyst.
Could the presence of a cyst affect the pregnancy test results? Thank you, doctor!

X, 10~19 year old female. Ask Date: 2022/08/04

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you have your period, it likely means you are not pregnant, so there is no need to worry.
It is unrelated to the cyst; just monitor the situation.
Wishing you good health.

Reply Date: 2022/08/04

More Info

When it comes to concerns about condom retention and the potential risk of pregnancy, it's essential to consider several factors, including the timing of intercourse, the reliability of the contraceptive method used, and any underlying health conditions that may affect pregnancy tests.

From your description, it seems that you had a sexual encounter on July 30th, during which a condom was initially used but later may have been compromised. The fact that you found the condom the next day, and it contained some fluid, raises questions about whether any sperm could have entered the vagina. However, since you mentioned that your menstrual cycle is typically around 35 days and that your period started on August 3rd, it is likely that you are not pregnant. The onset of menstruation is a strong indicator that pregnancy has not occurred, especially if it aligns with your expected cycle.

Regarding the urine pregnancy test conducted by your gynecologist, the result indicating no pregnancy further supports the likelihood that you are not pregnant. Pregnancy tests are generally very reliable when taken after a missed period, and since you had your period, the test result is consistent with that.

As for the presence of a cyst (referred to as a "water tumor" in your question), it is important to clarify what type of cyst it is. Ovarian cysts are common and usually benign, and they typically do not affect the accuracy of urine pregnancy tests. However, if the cyst is causing hormonal imbalances or other symptoms, it may warrant further investigation. If you have concerns about the cyst, discussing them with your healthcare provider is advisable.

In summary, based on the information provided:
1. The likelihood of pregnancy from the incident described is low, especially since you have since had your period.

2. The negative urine pregnancy test aligns with your menstrual cycle and the absence of pregnancy symptoms.

3. The cyst should be monitored, but it is unlikely to interfere with pregnancy testing.

For future reference, it's crucial to ensure that condoms are used correctly and consistently to minimize the risk of unintended pregnancy. If there are any concerns about contraceptive methods or if you experience any unusual symptoms, consulting with a healthcare provider is always a good practice. They can provide personalized advice based on your medical history and current health status.

If you're looking for additional resources, consider visiting reputable websites such as the American College of Obstetricians and Gynecologists (ACOG) or the Mayo Clinic, which offer comprehensive information on reproductive health, contraception, and pregnancy-related concerns.

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